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HOSPITAL CONSULTANTS HAVE said Ireland’s acute hospital system is at “breaking point” due to staffing and resource issues – compromising the care patients receive and taking a toll on the mental health of staff.
The Irish Hospital Consultants Association (IHCA) yesterday launched its pre-Budget 2020 submission, calling on the government to urgently address record waiting lists and the “unacceptable” number of patients being treated on trolleys.
IHCA members at the launch also spoke about the impact staffing levels and conditions have on doctors’ wellbeing.
Dr Gabrielle Colleran, a paediatric radiologist at Temple Street and Holles Street hospitals in Dublin, said the stress of their job can take a “huge personal toll” on doctors.
She said burnout and depression are major issues among healthcare workers, noting that she has lost two friends to suicide.
“I personally have two physician friends who have committed suicide in their 30s. That has a huge impact, [medical workers] have a higher rate of suicide, we have a higher rate of depression, we have a higher rate of marital breakdown.”
Colleran said doctors often have to work very long hours, missing out on time with loved ones as a result.
“Last week, to give you an example I was in work until nine or 10 o’clock multiple nights, so I missed bedtime with my kids … I started working at half seven or eight those mornings.
So when you’re doing those kind of long days, it usually impacts on your ability to do simple things like get enough sleep, get the exercise you need, get the downtime and the family time.
Colleran said people who choose to work in healthcare “tend to be empathetic and caring” and can be deeply affected by the “profoundly dysfunctional” conditions they work in.
‘Horrendous’
Colleran previously worked in the US and said that while there are many issues with the healthcare system there, particularly in terms of inequality of access, she was better able to do her job there than in Ireland.
“Any patient who needed anything, I could do it for them straight away, the most they ever waited was a week. Whereas here, I’m doing prioritisation for MRIs and ultrasounds, and I see notes from parents saying, ‘child missing school because of this’, ‘mom is a single parent and works full time, but will take unpaid leave for any cancellation at any time’.
And I’m reading this, thinking this is horrendous, the stress this parent is under, what this child is suffering. I’m totally limited in what I can do about it just because literally if I could clone every consultant in my department, we’d just about have enough people to meet the demand. It’s hugely demoralising.
‘Accustomed to misery’
Dr Laura Durcan, IHCA Vice President and a rheumatologist at Beaumont Hospital in Dublin, also previously worked in the US and said when she returned home to Ireland in 2016 she was “astonished” by how many patients in Ireland are treated on trolleys.
“When I came home from America first I was just astonished and I apologised to every person that I saw on the trolley and I said, ‘This is not okay that I’m seeing you this environment’.”
Durcan said in the past three years she has “become accustomed to the misery” that is regularly treating patients on trolleys.
“We have kind of learned to accept that, but it’s not okay. We should be putting in incident reports every time we see one single person who’s been on a trolley for 24 hours, we should be doing that.
But the truth is that we’re all so busy moving on to the next person or sorting out that person, we just become accustomed to the culture that this is how it is. And it’s not okay, they should be treated better, we should do better. It’s miserable.
More than 9,500 patients across the country had to wait on trolleys for a hospital bed last month.
Colleran noted that some patients die while on a trolley, saying this is simply not good enough.
“For some patients, that’s their last journey. So when you talk to families of patients who died on trolleys in EDs, there is a real lack of dignity in that, and that stays with those families. And we have to we have to do better,” she said.
In its pre-Budget submission the IHCA noted that one in five consultant posts (500 positions) are currently vacant or filled on a temporary basis. The IHCA said this is having a huge impact across Irish hospitals and mental health services, namely:
In a bid to tackle this, the IHCA, which represents over 95% of hospital consultants, said the government needs to significantly increase investment in acute hospital and mental health services in Budget 2020 – which is due to be unveiled next month.
The Department of Health had not replied to a request for comment about the IHCA’s recommendations at the time of publication.
The government yesterday published the HSE’s spending plan for the next three years – 250 projects are due to be delivered at a cost of €2.1 billion, including 480 new beds.
An IHCA spokesperson said that while elements of the plan are welcome, “it will deliver less than promised under the National Development Plan, particularly on beds”. The NDP promised 260 new hospital beds each year from 2019 to 2021, totalling 780 beds.
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I’ll never go back to an office full time. What was I thinking spending 90 minutes stuck in city traffic one way in, working a full day, sometimes having to stay late, only to spend 90 minutes in traffic on the way back home.
It added unnecessary stress to my life that was deemed ‘normal’. I refuse to go back to that way of living.
@Madra: completely agree.. why sit in traffic when you can use that time to work at your desk at home and even go for a little run before work. Going for a run or sitting in your car for 1 hour 20 think I know what I’d chose.
@Madra: At least this pandemy at this merit, having time to think and reflect about things you put in the back in your mind otherwise.
Ideally I’d love 4 days from home and 1 in the office but i’d take 3 days at home and 2 in the office
As long as it doesn’t have leading questions to get the ‘people want to go back to the office’ view like some other reports and surveys ran around the place recently have gone with. It has to be remembered that this hasn’t been a ‘WFH Experiment’ experience it has been a ‘WFH during a Pandemic’ one. Previous surveys all seemed to focus on the social aspect of working in an office which people then latched onto as being ‘the thing they missed’ – without any survey factoring in that nobody can do anything social at the minute. It would be fantastic if the ‘experiment’ went on for six months once things opened up again and then the surveys were put out.
If I could maybe get blended where I’m doing WFH Friday’s and Monday’s and then in the office Tuesday to Thursday’s, like in my old job I’ll happily take that. I simply don’t have a permanent office or work area set up for WFH on a full-time basis, even now its a pain most days to get screens and connections for the laptop set up on the living room table every morning and then take it all away every evening to eat. Plus to be honest, I am sick to the back teeth of poxy zoom and video calls, the novelty was fine for a few months last year, but once we had to do any kind of team training etc, it’s not as effective as being able to ask questions in person…..but everyone will have a different story or opinion on WFH I guess
@Tarraing Mo Liathróidí: Why not set up a home office in your back garden?
@Locojoe: other than the garage, which is already full, there is nowhere practical without me spending a fair amount of money i don’t have to do it, and to be honest I miss seeing actual work mates in person and going to lunch with people instead of sitting on my own doing it via zoom
Cant wait to get back to the office! Big desk, multiple monitors, task chair, coffee, snacks on tap, free lunch, socializing.
Like a lot of things in life there are good bits and bad bits of WFH, for me, the good bits of WFH far outweigh the bad bits, by a considerable margin.
As a working mother with young kids I hope that I can wfh at least 60 percent of the time. Not having to pay for afterschool means I’m actually earning a wage, my kids are happier to be home after school, I can drop them and pick them up. When they are sick I’m not scrambling around trying to find someone to mind them or take off work using annual leave where my colleagues have to take on my work.
@Bleurgh: Not have a go at you personally, but isn’t this one of the issues with WFH from an employer perspective ? They are paying for time at the desk, not time spent babysitting, tending to sick kids, etc. I get that most people would be able to juggle the work and household stuff, but it’s bound to have an impact.
I did not have the option of working from home. But I’d welcome the opportunity to try a 4 day week.
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